Endoscopy Live: GERD & Barrett's Esophagus: The Journey Continues | December 2021-Procedure 9: Multi Band Ligation EMR

Video Transcription

Video Summary

In this video, Dr. Sreenath Komanduri from Northwestern University presents a case of a 73-year-old patient with longstanding Barrett's esophagus and multifocal high-grade dysplasia. The video focuses on the endoscopic treatment of the patient using a multiband ligation EMR technique. Dr. Komanduri explains the importance of a high-quality examination and highlights the use of a cap and mucolytic agent to improve visualization. He discusses the ulcerated area in the patient and demonstrates the use of narrowband imaging to assess the lesion. Dr. Komanduri then proceeds with the EMR procedure using a captivator device and explains the technique involved in resecting the lesion. The video emphasizes the need for wide margin resection to prevent buried neoplasia. Finally, Dr. Komanduri addresses the post-operative care and the potential risk of stricture in the patient.

Asset Subtitle

Sri Komanduri, MD

Keywords

Barrett's esophagus

multifocal high-grade dysplasia

endoscopic treatment

EMR procedure

post-operative care